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Trust the Process, and the Outcome Will Follow
Most people don’t arrive in pain rehabilitation calmly. They arrive tired. Frustrated. Often frightened. They arrive having tried treatments, exercises, medications, scans, injections, advice from well-meaning professionals and loved ones, all with the same hope attached to each one: this…
Pain Rehabilitation: Assembled Like the Avengers
“Sometimes, you need more than strength to win the battle, you need a team.” Pain can feel like a relentless villain. For those living with persistent pain, every day can be a fight: a battle against discomfort, fatigue, fear, frustration,…
Let’s talk about sex and persistent pain
When you are assessing your clients with persistent pain, how good are you at asking clients about how pain is affecting sex and intimacy? If the client doesn’t bring it up, do you? Are we sometimes a bit British about…
Exercise, no thanks!
Why a Psychologically Informed Approach to Exercise is More Effective Than Standard Exercise When helping people with persistent pain, the way we approach exercise can make all the difference. Traditional exercise programmes often focus on sets, reps, and biomechanics, assuming…
Readiness to change in clients with persistent pain
What is ‘readiness to change’? One of the things we want to assess when meeting a new client for the first time is ‘readiness to change’. This is based on the transtheoretical model (Prochaska & DiClemente, 1983) proposing that when…
What is a Pain Physio?
What is a pain physio? How is a pain physio different to a regular physio? Don’t all physios help people with pain? Questions often asked by patients, clients, health professionals, case managers and individuals involved with the rehabilitation process. Pain…
Fire Walking and Pain
By Andy Laird, Pain Specialist Physiotherapist How Understanding Neurotags and Predictive Processing Can Change Your Relationship with Pain Recently, I found myself standing barefoot in front of a bed of glowing red-hot coals, ready to participate in a fire walk.…
Ted Lasso and Pain Rehabilitation
Ted Lasso’s coaching style in the television series offers fascinating parallels to pain rehabilitation. His approach is rooted in empathy, resilience, and teamwork, which are all crucial elements when helping those experiencing persistent pain. “Be curious, not judgmental” From the…
Getting a Good Outcome…
Individuals experiencing persistent pain often report how pain can impact on their physical, social, and emotional well-being. To truly appreciate this, a thorough, interdisciplinary assessment is required, using a biopsychosocial framework to understand their current situation. As part of…
What is Pain Reprocessing Therapy and how can it help chronic or persistent pain?
What is Pain Reprocessing Therapy? Pain Reprocessing Therapy (PRT) is a relatively new way of working with people with persistent pain, but is based on some old ideas going back to the work of John Sarno (Healing back pain; The…
What is EMDR therapy, and how can it be helpful for persistent pain?
EMDR (Eye Movement Desensitisation and Reprocessing) therapy is a NICE and World Health Organisation recommended treatment for psychological trauma. It was developed in the 1980’s by Francine Shapiro, and has a robust evidence base generated over several decades. Multiple randomised…
The “Big Sleep Out”
As a proud supporter of a local charity, Simon on the Streets, I took the opportunity to participate in their “Big Sleep Out”, with the aim of increasing awareness and funds for their incredible work to support homeless people. As…